Active NPI
Heather Stevenson
- Clinical Psychologist
- New York, NY
National Provider Identifier
1295090850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022497
- Practice address
- 6 E 39TH St
New York, NY 10016-0112 - Phone
- (917) 267-9356
- NPI assigned
- Jul 10, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 29247 | CA | |
| Clinical Psychologist | 103TC0700X | 022497 | NY | Primary |
Addresses
Primary practice location
6 E 39TH St
New York, NY 10016-0112
Mailing address
300 8TH St Apt 5B
Brooklyn, NY 11215-7502
Phone (917) 267-9356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022497 | NY | MD | Clinical Psychologist |
| 29247 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1295090850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 8TH ST APT 5B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112157502",
"telephone_number": "917-267-9356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E 39TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100160112",
"telephone_number": "917-267-9356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "29247",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.